(A) I hereby authorise Pettswood pharmacy to order any repeat prescription I request for myself or anyone else through this website and to collect, either in person or by means of electronic transfer, my prescriptions from the surgery shown above on my behalf. I will inform you if I wish to make changes to this agreement.
(B) I hereby authorise the Pettswood pharmacy to collect either in person or by means of electronic transfer, my prescriptions from the surgery / doctors shown above on my behalf. I will inform you if I wish to make any changes to this agreement.
(C) The Repeat and Electronic Prescription service shall collectively be known as Prescription Services.
I have read and accepted the Terms & Conditions and would like to submit my consent and registration for Prescription and Other Pharmacy Services at Pettswood pharmacy